Datin Medical Supply

Organization Active NPI Durable Medical Equipment & Medical Supplies · Brandon, MS

NPI 1275958423 · NPPES record last updated Jul 13, 2016

Key facts

NPI
1275958423
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
DATIN MEDICAL SUPPLY
Practice address
2151 Highway 18
Brandon, MS 39042-2492
Phone
(601) 724-4456
NPI assigned
Feb 25, 2014
Organization subpart
No

Authorized official

Name
Brendan Sartin
Title
Owner
Phone
(601) 573-3501

National Provider Directory

Locations

2151 Highway 18
Brandon, MS 39042
Phone (601) 724-4456

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

2151 Highway 18
Brandon, MS 39042-2492

Mailing address

PO Box 1555
Brandon, MS 39043-1555
Phone (601) 724-4456

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2016.

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1275958423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1555",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390431555",
            "telephone_number": "601-724-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 HIGHWAY 18",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422492",
            "telephone_number": "601-724-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DATIN MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "SARTIN",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "16015733501"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

All providers in Brandon, MS · Durable Medical Equipment & Medical Supplies in Mississippi

Sources for this page

Verify at the official NPI Registry.